Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Shaconda Larece Holloway, LCSW

Individual provider Clinical Social Worker · NPI 1114463700

Miss. Shaconda Larece Holloway, LCSW is a Clinical Social Worker in Suffolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5268 Godwin Blvd Western Tidewater Mental Health
Suffolk, VA 23434
Phone: (757) 255-7117
Fax: (757) 255-7139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904009488 (VA)

Record details

NPI number1114463700
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 6, 2017
Last updated in NPPESJanuary 6, 2017

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